| Lebanon Oral Surgery Group Pllc | |
|
860 Tuck St Ste 100 Lebanon PA 17042-7477 | |
| (717) 273-6745 | |
| Not Available |
| Full Name | Lebanon Oral Surgery Group Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 860 Tuck St Ste 100, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Alexandre Balaci (OWNER) |
| Authorized Official Contact | 7172736745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lebanon Oral Surgery Group Pllc 860 Tuck St Ste 100 Lebanon PA 17042-7477 Ph: (717) 273-6745 | Lebanon Oral Surgery Group Pllc 860 Tuck St Ste 100 Lebanon PA 17042-7477 Ph: (717) 273-6745 |
| NPI Number | 1902542863 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 05/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902542863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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